Georgia Mulkerins, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

124103 Issued in AR

Practice address

2103 Slack St
Pea Ridge, AR 72751-4005

Phone

(479) 765-1980

Fax

(479) 765-1982

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pea Ridge Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Pea Ridge, AR
  • NPI 1558140749
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1962207589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 SLACK ST",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727514005",
            "telephone_number": "479-765-1980",
            "fax_number": "479-765-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 SLACK ST",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727514005",
            "telephone_number": "479-765-1980",
            "fax_number": "479-765-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKERINS",
        "first_name": "GEORGIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Mayberry, SLP
• Josie Diane McMillan, MMT
• Renita L Moore, RN
• Russell Thomas Morter, DC
• Mary Emily Mountifield, PHARMD
• Nicholas Edward Baioni, PLLC
• Northwest Arkansas Pediatric Therapy Services, Inc
• Rain Oleson
• Allison Overbay, SLP
• Ozark Eye, PLLC

• Family Nurse Practitioner in Pea Ridge, AR
• Providers in Pea Ridge, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.